Healthcare Provider Details

I. General information

NPI: 1548076359
Provider Name (Legal Business Name): BEHAVIORAL HEALTH CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 EYSTER BLVD
ROCKLEDGE FL
32955-8119
US

IV. Provider business mailing address

401 OLD DIXIE HWY UNIT 3599
JUPITER FL
33469-2444
US

V. Phone/Fax

Practice location:
  • Phone: 321-399-7374
  • Fax: 321-321-9550
Mailing address:
  • Phone: 321-850-2115
  • Fax: 321-321-9550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON TROY ACKNER
Title or Position: CEO
Credential:
Phone: 561-815-4478